Intergenerational sex and early sexual debut are associated with HIV infection among transgender women in Paraguay
| Primer Autor |
Aguilar, Gloria
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| Co-autores |
Morel, Zoilo
Samudio, Tania
Lopez, Gladys
Rios-Gonzalez, Carlos Miguel
Gimenez, Liliana
Schaerer, Christian
Gomez, Santiago
Baez, Teresita
Estigarribia, Gladys
Mendez, Julieta
Munoz, Sergio
McFarland, Willi
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| Título |
Intergenerational sex and early sexual debut are associated with HIV infection among transgender women in Paraguay
|
| Editorial |
WILEY
|
| Revista |
HIV MEDICINE
|
| Lenguaje |
en
|
| Resumen |
Introduction: HIV prevalence among transgender women is high worldwide. The objectives of the present study were to estimate the current prevalence of HIV and identify factors associated with high HIV burden among transgender women in Paraguay.Methods: Transgender women aged =15 years in four regions of Paraguay were recruited by Starfish sampling between February and March 2021.Results: In total, 322 transgender women were included. Mean age was 31 years (range 15-67), and 102 had positive HIV test results (31.7%, 95% confi-dence interval [CI] 26.6-37.1). In multivariable analysis, factors associated with HIV infection were age at first intercourse =17 years (adjusted odds ratio [aOR] 5.47, 95% CI 1.05-28.42), >10 years difference in age with the last sexual partner (aOR 1.60, 95% CI 1.04-2.46), substance use (mostly cocaine) (aOR 3.00, 95% CI 1.47-6.12), higher risk perception (aOR 3.08, 95% CI 1.53-6.17), not testing for HIV (aOR 1.23, 95% CI 1.09-1.39), and accessed by a peer edu-cator (aOR 3.86, 95% CI 1.77-8.38).Conclusions: Sexual debut as a minor and a large age difference with sexual partners are associated with high burden of HIV among transgender women in Paraguay. Our study corroborates the finding of cocaine use during sex as a risk factor for HIV. Prevention programmes must address structural and social vulnerabilities to stem the tragically high burden of HIV among transgender women.
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| Fecha Publicación |
2023
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| Tipo de Recurso |
artículo original
|
| doi |
10.1111/hiv.13496
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| Formato Recurso |
PDF
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| Palabras Claves |
cocaine
HIV
Paraguay
sexual behaviour
transgender persons
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| Ubicación del archivo | |
| Categoría OCDE |
Enfermedades infecciosas
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| Materias |
cocaína
VIH
Paraguay
comportamiento sexual
personas transgénero
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| Página de inicio (Recomendado-único) |
990.0
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| Página final (Recomendado-único) |
999
|
| Identificador del recurso (Mandatado-único) |
artículo original
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| Versión del recurso (Recomendado-único) |
versión publicada
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| Derechos de acceso |
metadata
|
| Access Rights |
metadata
|
| Id de Web of Science |
WOS:000981211300001
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| ISSN |
1464-2662
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| Tipo de ruta |
hibrida
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| Categoría WOS |
Enfermedades infecciosas
|
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